Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $91.20 / $158.49	Facility		$19.05	$91.20	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $41.69	Professional		$10.00	$12.02	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $14.79 / $18.62	Professional		$9.33	$14.79	$18.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $12.88	Facility		$11.22	$11.22	$12.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $51.29	Professional		$12.88	$12.88	$51.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $48.98 / $83.18	Facility		$44.67	$48.98	$83.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.84 / $28.84	Professional		$23.44	$28.84	$28.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Facility		$11.22	$11.22	$11.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.88 / $16.60	Professional		$9.33	$12.88	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $25.70 / $38.90	Professional		$8.13	$25.70	$38.90